The State of New Mexico, ex rel. Hector H. Balderas, Attorney General v. Bloomfield Nursing Operations, LLC

CourtDistrict Court, N.D. Texas
DecidedSeptember 26, 2019
Docket4:18-cv-00374
StatusUnknown

This text of The State of New Mexico, ex rel. Hector H. Balderas, Attorney General v. Bloomfield Nursing Operations, LLC (The State of New Mexico, ex rel. Hector H. Balderas, Attorney General v. Bloomfield Nursing Operations, LLC) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The State of New Mexico, ex rel. Hector H. Balderas, Attorney General v. Bloomfield Nursing Operations, LLC, (N.D. Tex. 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF TEXAS FORT WORTH DIVISION

§ IN RE: BLOOMFIELD NURSING § OPERATIONS, LLC, et al., § § Debtors, § § THE STATE OF NEW MEXICO, ex rel. § Hector H. Balderas, Attorney Genral, § § Appellant, § § Civil Action No. 4:18-cv-00374-O v. § § BLOOMFIELD NURSING § OPERATIONS, LLC, et al., § § Appellees. §

MEMORANDUM OPINION AND ORDER

Appellant the State of New Mexico (the “State”) appeals the Order Denying State of New Mexico’s Motion for Order Confirming Automatic Stay Inapplicable to Medicaid Fraud Enforcement Action (Bankruptcy Docket No. 171), signed May 1, 2018, issued by the United States Bankruptcy Court for the Northern District of Texas, Fort Worth Division (“Bankruptcy Court”). Having considered the briefing, the record, the applicable law, and for the reasons stated below, the Court REVERSES the Bankruptcy Court’s ruling of May 1, 2018. I. BACKGROUND Prior to summarizing the proceedings before the Bankruptcy Court, the Court sets forth the background facts concerning the State’s enforcement action against the Bloomfield Debtors,1 the Preferred Care Debtors,2 and the Management Debtors3 (collectively, the “Debtors”). A. The New Mexico AG Suit The Bloomfield Debtors operated and managed skilled nursing facilities in New Mexico

from April 1, 2007 until October 31, 2012. R. 8, 189. On October 31, 2012, Preferred Care, Inc. purchased the leasehold interests and all assets used in connection with operating the facilities. Id. In December of 2014, the State filed a lawsuit (the “New Mexico AG Suit”) in the First Judicial District Court of Santa Fe County (the “New Mexico State Court”) against numerous defendants.4 Id. at 19. The State’s enforcement action seeks, inter alia, treble damages and civil penalties for false claims submitted to the Medical Assistance Program (“Medicaid”), under New Mexico’s Fraud Against Taxpayers Act (“FATA”)5 and Medicaid Fraud Act,6 as well as civil penalties, restitution, and injunctive relief for misrepresentations to consumers and unconscionable trade practices, under the state Unfair Practices Act.7 Appellant’s Br. 3–4

1 The “Bloomfield Debtors” include Bloomfield Nursing Operations, LLC; Casa Real Nursing Operations, LLC; Red Rocks Nursing Operations, LLC; Cathedral Rock Corporations; Cathedral Rock Investments, Inc.; Cathedral Rock Management I, Inc.; Cathedral Rock Management, LP; Española Valley Nursing Operations, LLC; Santa Fe Nursing Operations, LLC; and Sunshine Haven Nursing Operations, LLC.

2 The “Preferred Care Debtors” include thirty-four jointly administered debtors.

3 The “Management Debtors” are two jointly administered debtors.

4 Among the defendants named in the New Mexico AG Suit are the Bloomfield Debtors, some, but not all, of the Preferred Care and Management Debtors, Mr. Thomas Scott, and Mr. C. Kent Harrington.

5 NMSA §§ 44-9-1 – 44-9-14.

6 NMSA §§ 30-44-1 – 30-44-8.

7 NMSA §§ 57-12-1 – 57-12-26. The State alleges that the Debtors chronically understaffed their nursing facilities, thereby failing to deliver the basic care services they were paid to provide. Id. at 4. Specifically, the State alleges that the Debtors were paid thousands of dollars per month for each resident’s care, while the “elderly and vulnerable citizens were left lying in their own feces and urine for hours at a time, suffered pressure sores, did not get enough assistance to eat and drink at mealtimes, and were not

bathed or groomed properly.”8 Id. To support its understaffing theory, the State uses a “widely-accepted industrial engineering simulation” that calculates the time and manpower needed to perform daily care tasks in a hypothetical setting. R. 191. The State contends that when it ran the Debtors’ staffing and resident information through the simulation, the results showed that it would have been physically and mathematically impossible for the Debtors to have provided the required level of care to their residents.9 Id. B. The Bankruptcy Court’s Hearing As of result of the New Mexico AG Suit and other lawsuits, the Bloomfield Debtors filed

voluntary petitions for relief under Chapter 11 of the Bankruptcy Code. R. 8. Following this

8 In addition to the engineering simulation, the State presented the thirty-six witness statements regarding the conditions of the Debtors’ nursing facilities. The witness statements include first-hand accounts from residents, family of residents, certified nursing assistants, kitchen staff, and nursing home inspectors. Among the witness statements are claims that residents would: 1) deteriorate rapidly at one of the Debtors’ nursing facility and improve greatly once transferring to a different rehabilitation center; 2) wait significant times for assistance; 3) develop Stage IV pressure sores—which are pressure sores that have advanced to the point where tissue loss exposes bone, tendon, or muscle—due to inadequate care; 4) saturate their clothing and bedding with urine because their calls went ignored; 5) have feces-soiled clothing because their calls went ignored; 6) develop urinary tract infections; 7) lose weight because they were not being fed, in the cases of those who could not eat independently; 8) go weeks without a shower; 9) constantly fall; and 10) die as a result of their care. R. 74–141.

9 The Bloomfield Debtors contest the fact that they were understaffed, stating that they complied with the relevant New Mexico statutes. R. 189. The State claims that the Debtors only passed inspections because the nursing facilities were aware of the planned inspections and increased staffing in anticipation of them. Id. at 75. bankruptcy filing, the New Mexico State Court entered an order staying the entire New Mexico AG Suit pursuant to 11 U.S.C. § 362(a). Id. The State then filed a motion seeking an order from the Bankruptcy Court confirming that the State’s enforcement action against the Bloomfield Debtors was not subject to the automatic stay, pursuant to 11 U.S.C. § 362(b)(4)—the police and regulatory power exception to the automatic stay. Id. at 11.

The Bankruptcy Court denied the State’s motion. In doing so, the Bankruptcy Court noted that the State was only seeking one form of non-monetary relief: injunctive relief as a remedy for alleged violations of the Unfair Practices Act. Id. at 10. The Bankruptcy Court also stated that it was unconvinced of the State’s given public policy reasons for pursuing the New Mexico AG Suit. Id. at 13. Applying the relevant Fifth Circuit case law, the Bankruptcy Court concluded that the State failed to carry its burden to satisfy the requisite tests to be allowed an exception under § 362(b)(4). Id. at 14. II. STANDARD OF REVIEW A district court sits as an appellate court when reviewing a bankruptcy court’s decision in

a “core proceeding.” In re Renaissance Hosp. Grand Prairie, Inc., 713 F.3d 285, 293 (5th Cir. 2013) (citing In re Webb, 954 F.2d 1102, 1103–04 (5th Cir. 1992)). This appeal is from a final order of the Bankruptcy Court in a core proceeding. Thus, the Court has jurisdiction over the appeal of the Bankruptcy Court’s order pursuant to 28 U.S.C. § 158(a)(1). The district court reviews the bankruptcy court’s legal conclusions de novo. Renaissance, 713 F.3d at 294 (citing In re Gerhardt, 348 F.3d 89, 91 (5th Cir. 2003)).

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The State of New Mexico, ex rel. Hector H. Balderas, Attorney General v. Bloomfield Nursing Operations, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-state-of-new-mexico-ex-rel-hector-h-balderas-attorney-general-v-txnd-2019.